Individual provider Active NPI

Anthony Cruse, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Oklahoma City, OK
National Provider Identifier
1235139692
Registry record updated May 7, 2013
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(7) exclusion effective Nov 9, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
1987 Issued in OK
Practice address
8100 S Walker Ave
BLDG a
Oklahoma City, OK 73139-9402
Phone
(405) 632-4468
Fax
(405) 631-4964
NPI assigned
Jul 28, 2005
Last updated
May 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 1987 OK
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 1987 OK Primary

Addresses

Primary practice location

8100 S Walker Ave
BLDG a
Oklahoma City, OK 73139-9402

Mailing address

8100 S Walker Ave
BLDG a
Oklahoma City, OK 73139-9402
Phone (405) 632-4468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1235139692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 S WALKER AVE",
            "address_2": "BLDG A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399402",
            "telephone_number": "405-632-4468",
            "fax_number": "405-631-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 S WALKER AVE",
            "address_2": "BLDG A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399402",
            "telephone_number": "405-632-4468",
            "fax_number": "405-631-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUSE",
        "first_name": "ANTHONY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "1987",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OK",
            "license": "1987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.